# Commission Regulation (EU) No 578/2010 of 29 June 2010 on the implementation of Council Regulation (EC) No 1216/2009 as regards the system of granting export refunds for certain agricultural products exported in the form of goods not covered by Annex I to the Treaty, and the criteria for fixing the amount of such refunds, Division 3: Applications for an extract of a refund certificate shall contain the following information:

Extent: E+W+S+N.I.

(a) in boxes 1 and 2, the name of the agency which issued the refund certificate from which an extract is requested and the number of the original certificate;
(b) in box 4, the name of the holder of the refund certificate;
(c) in boxes 17 and 18, the amount in euros for which an extract is requested.

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Source: https://www.legislation.gov.uk/eur/2010/578/annex/VI/division/II/division/3 (the official version)
Page: https://openlegislation.uk/eu-regulation-2010-578/annex-VI/division-II/division-3
Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives.